Your Name *

First Name

Last Name

Your Phone Number *

Country

(###)

###

####

Waiver Terms *

I hereby grant Crossfade™ permission to use my likeness in a photograph, video, or other digital media (“image”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all images will become the property of Crossfade™ and will not be returned. I hereby irrevocably authorize Crossfade™ to edit, alter, copy, exhibit, publish, or distribute these images for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears or the right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge Crossfade™ from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THE DIGITAL SIGNATURE BELOW. I ACCEPT: